Tyler Andrew Suddarth, | |
7700 W Sunrise Blvd, Plantation, FL 33322-4113 | |
(954) 939-6852 | |
Not Available |
Full Name | Tyler Andrew Suddarth |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 7700 W Sunrise Blvd, Plantation, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629628896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9394983 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11005496 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Georgia Anesthesia Associates, Pc | 1759349830 | 27 |
Entity Name | South Georgia Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285605733 PECOS PAC ID: 1759349830 Enrollment ID: O20041221000350 |
Mailing Address | Practice Location Address |
---|---|
Tyler Andrew Suddarth, 302 Midland Pl, Cairo, GA 39828-7604 Ph: (229) 300-4938 | Tyler Andrew Suddarth, 7700 W Sunrise Blvd, Plantation, FL 33322-4113 Ph: (954) 939-6852 |
Ms. Melanie Eleanor Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Amanda J Lackaye, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5409 | |
Yeisirenia Padron Rodriguez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 | |
Alexander Brigantty - Vazquez Sr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-6588 | |
Andrene Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Nw 42nd Ave, Plantation, FL 33317 Phone: 954-260-8293 | |
Mrs. Catherine Keyo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5577 | |
Aloune Diana Chariot, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 800-437-2672 |